Provider Demographics
NPI:1659661973
Name:WHITFIELD, CHEVES ANNE (LCMHC)
Entity Type:Individual
Prefix:
First Name:CHEVES
Middle Name:ANNE
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:CHEVES
Other - Middle Name:ANNE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:TREE OF LIFE COUNSELING 10 DEWITT STREET, SUITE 2
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540
Mailing Address - Country:US
Mailing Address - Phone:336-288-9190
Mailing Address - Fax:336-450-4318
Practice Address - Street 1:TREE OF LIFE COUNSELING 10 DEWITT STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540
Practice Address - Country:US
Practice Address - Phone:336-288-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8648101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104732Medicaid